06-103131 • Cityof Federal Way
ammurnty Development Services Electrical Permit #: 06-103131-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BROOKS
Project Address: 27892 25TH PL S Parcel Number: 326080 0430
Project Description: Add electrical circuit for heat pump.
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Owner Applicant Contractor
BEVERLY P BROOKS NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
27892 25TH PLS 10228 29Th ST E NORTHES015CK 2/12/07
FEDERAL WAY WA 98003-2723 EDGEWOOD WA 98372 10228 29Th ST E
EDGEWOOD WA 98372
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1.00
PERMIT EXPIRES Wednesday, December 20, 2006
Permit Issued on Friday, June 23, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
a t City of Federal Way.
Owner or agent: Date: 6(7-3/t
? ` -\ v<0 1 (c0 biC_e_i2,S
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THIS CARD IS TO REMAIN ON-SITE
���► Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103131-00-EL
Owner: BEVERLY P BROOKS
Address: 27892 25TH PL S
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) NI Final-Electrical (4055)
Approved ApprovedtApproved
By Date By Date By' `� Date 1A 11 9 It r
❑ Under-slab groundwork(4295)
Approved
By Date
,uN 232006 �D / �& / 8 L
CITY Of, 'z"z*.o� .Y 2
Federal Way ►: L
•COMMUNITY DEVELOPMENT SERVICES 011 G ° \ •• MIT SF MF CO J )'L DE EN FP
33325BD�tAVENUE.WA 9.PO 63BOX 9718 APPLICATION TO / /
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
wu'w.ntuotiederalwau com
The ollowin• is r-•wired i ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or )•'.
• PROPERTY INFORMATION
SITE ADDRESS Q-1-89 a OS' P lafo, `, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 6 0 5a - D £ —0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pogeJor lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION *ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
add Gist u1i- -fiv heat fume
PROJECT NAME(Name of Business or Owner Last Name) v 1 &ri c.)
• PEOPLE INFORMATION
PROPERTY NAME 1 PRIMARY PHONE
OWNER E]Q.�1J�1 �rco>GS L c3 ) 1y q I - 94,50
MAILING ADDRESS CITY.STATE,ZIP
0 -8q a DGr' +P lace. 5 Fed.era t Wa.L3 , WA , 98 033
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Nae ui SA- Llec.t,ric.l 5vc. (.:x3 ) yLtS -9oaci
MAILING ADDRESS CITY,STATE,ZIP (1C�1 CELL PHONE
10QD cD9 8[N� LICENSE NUMBER Ecje X�I L&) DATE 839a FAX NUMBER
i a- 9 q- I ti 6_ g I— -B L to /3) / o (0 (a33 )9yc - - -3- f
COCTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
NO 4T k1 E� e51 SCK 0'a/ 1a / v-'
APPLICANT COMPANY NAME V�t'}•{�TAP(PLICANT NAME OFFICE PHONE
LIE.
M GAD S C' f'IY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per RCW 19.27.095: Lender information is NAME
required if projeet value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. ' SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING
PROPOSED T. AL TOTAL W$TUIO 8? TOTAL PROPOSED r TOTALS?
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be inst. -d or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Com..) SHOWERS WATER CLOSETS(Toilet) MISC(Descnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Wag as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE / - CP. 4 • ') DATE c7a 1
ature) (Title)
RELATIONSHIP TO PR• ' ❑ Owner 0 Agent (Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION c REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES c NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? c YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES c NO
Bulletin#I00-January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) 0 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 0 601-800 amp 410.00 173.50
O 801 -1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 /ALTERED COMMERCIAL/INDUSTRIAL
Q 601 -800 amp 254.00 136.00'
❑ Over 800 amp 364.00 . 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
O 601-.1000 amp 410.00
Service or Feeder
❑ 0 to 200 amp $89.50 ❑ over 1000 amp 456.50
O 201-600 amp 145.00 ' ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 • (1-5 circuits-$91.50;Adii'n circuit',$7.00/ea)
•
❑ I of circuits to be added/altered COMMERCIAL./INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVKuiti Famfiy $63.00
O s of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) CommerciaWndusMai Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • ❑ H of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be'served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑
Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per Systems) 1st 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Pcr WAC 296-46-910(5W a fi)